Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $112.74 / $321.81	Facility		$112.74	$112.74	$321.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $112.74 / $139.94	Professional		$109.47	$112.74	$139.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.30 / $480.50 / $627.47	Facility		$380.30	$480.50	$627.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $142.32 / $200.51	Professional		$111.84	$142.32	$200.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $359.33 / $543.26	Professional		$161.87	$359.33	$543.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.36 / $352.80 / $1,673.89	Facility		$251.36	$352.80	$1,673.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $182.52 / $296.93	Professional		$100.07	$182.52	$296.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $169.33 / $175.57	Professional		$122.42	$169.33	$175.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $172.35 / $239.56	Facility		$118.63	$172.35	$239.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $182.00 / $250.00	Professional		$38.00	$182.00	$250.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $136.21 / $271.47	Facility		$31.30	$136.21	$271.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $155.72 / $313.50	Professional		$33.15	$155.72	$313.50
United Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $165.74 / $866.23	Facility		$36.93	$165.74	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $188.82 / $281.95	Professional		$107.76	$188.82	$281.95